| NPI | 1801026083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX Q1968) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A109343) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2015-03-31 |